Abstract：
OBJECTIVE: Following treatment completion, colorectal cancer (CRC) survivors experience various unmet needs. This review aims to synthesize the unmet needs of CRC survivors after treatment and to identify demographic, disease or treatment-related, healthcare-related, and psychosocial factors correlated with unmet needs.
METHODS: English or Chinese articles that focused on CRC survivors\' post-treatment unmet needs were systematically searched from the five electronic databases, which included CINAHL, PubMed, Embase, PsycINFO, and the China Academic Journal Full-text Database, from the launch of databases to July 2023. The reference lists of the subsequent articles were further screened.
RESULTS: 136 individual needs extracted from 50 manuscripts were classified into nine domains based on the Supportive Care Framework. The top four unmet needs identified by CRC survivors were assistance with fears of cancer recurrence, information about managing illness and side effects at home, emotional or psychological support and reassurance, and help with sexuality problems. Following surgery, CRC survivors showed strong demand in the physical, psychological, and information domains. Survivors completed treatment within 1-year had more diverse needs than those who completed 1-3 years. Unmet needs may be greater among CRC survivors who were young, female, more educated, and unmarried. Furthermore, greater unmet needs were associated with distress, anxiety, depression, and worse quality of life.
CONCLUSIONS: Despite diverse needs experienced by post-treatment CRC survivors, a predominant focus on fears of cancer recurrence, information, psychological support, and sexuality needs is noted. Future studies should further explore the needs of CRC survivors after specific treatment and in different post-treatment periods.
METHODS: English or Chinese articles that focused on CRC survivors\' post-treatment unmet needs were systematically searched from the five electronic databases, which included CINAHL, PubMed, Embase, PsycINFO, and the China Academic Journal Full-text Database, from the launch of databases to July 2023. The reference lists of the subsequent articles were further screened.
RESULTS: 136 individual needs extracted from 50 manuscripts were classified into nine domains based on the Supportive Care Framework. The top four unmet needs identified by CRC survivors were assistance with fears of cancer recurrence, information about managing illness and side effects at home, emotional or psychological support and reassurance, and help with sexuality problems. Following surgery, CRC survivors showed strong demand in the physical, psychological, and information domains. Survivors completed treatment within 1-year had more diverse needs than those who completed 1-3 years. Unmet needs may be greater among CRC survivors who were young, female, more educated, and unmarried. Furthermore, greater unmet needs were associated with distress, anxiety, depression, and worse quality of life.
CONCLUSIONS: Despite diverse needs experienced by post-treatment CRC survivors, a predominant focus on fears of cancer recurrence, information, psychological support, and sexuality needs is noted. Future studies should further explore the needs of CRC survivors after specific treatment and in different post-treatment periods.
摘要：
目的：治疗完成后，结直肠癌（CRC）幸存者经历各种未满足的需求。这篇综述旨在综合CRC幸存者治疗后未满足的需求，并确定人口统计学，疾病或治疗相关，医疗保健相关，和与未满足的需求相关的社会心理因素。
方法：从五个电子数据库中系统地检索了关注CRC幸存者治疗后未满足需求的英文或中文文章，其中包括CINAHL，PubMed,Embase,PsycINFO,和中国学术期刊全文数据库，从数据库的推出到2023年7月。进一步筛选了后续文章的参考文献列表。
结果：根据支持性护理框架，从50份手稿中提取的136个个人需求被分为9个领域。CRC幸存者确定的前四个未满足的需求是对癌症复发的恐惧。关于在家管理疾病和副作用的信息，情感或心理上的支持和安慰，帮助解决性问题。手术后,CRC幸存者在身体上表现出强烈的需求，心理,和信息领域。在1年内完成治疗的幸存者比完成1-3年的幸存者有更多样化的需求。在年轻的儿童权利公约幸存者中，未满足的需求可能更大，女性,受过更多的教育，未婚。此外，更大的未满足的需求与痛苦有关，焦虑,抑郁症,更糟糕的生活质量。
结论：尽管治疗后CRC幸存者经历了不同的需求，主要关注癌症复发的恐惧，信息,心理支持,注意到性需求。未来的研究应进一步探讨特定治疗后和不同治疗时期CRC幸存者的需求。
方法：从五个电子数据库中系统地检索了关注CRC幸存者治疗后未满足需求的英文或中文文章，其中包括CINAHL，PubMed,Embase,PsycINFO,和中国学术期刊全文数据库，从数据库的推出到2023年7月。进一步筛选了后续文章的参考文献列表。
结果：根据支持性护理框架，从50份手稿中提取的136个个人需求被分为9个领域。CRC幸存者确定的前四个未满足的需求是对癌症复发的恐惧。关于在家管理疾病和副作用的信息，情感或心理上的支持和安慰，帮助解决性问题。手术后,CRC幸存者在身体上表现出强烈的需求，心理,和信息领域。在1年内完成治疗的幸存者比完成1-3年的幸存者有更多样化的需求。在年轻的儿童权利公约幸存者中，未满足的需求可能更大，女性,受过更多的教育，未婚。此外，更大的未满足的需求与痛苦有关，焦虑,抑郁症,更糟糕的生活质量。
结论：尽管治疗后CRC幸存者经历了不同的需求，主要关注癌症复发的恐惧，信息,心理支持,注意到性需求。未来的研究应进一步探讨特定治疗后和不同治疗时期CRC幸存者的需求。
